facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Louisiana: 8 hospitals compared (DRG 220)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Louisiana

What 8 hospitals in Louisiana charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.

DRG 220 Inpatient 2024 Medicare data
Average charge $246,830 Hospital list price billed
Average payment $42,499 Medicare + patient + other payers
Medicare paid $36,168 Average per stay
State rank #4 of 33 1 = lowest average payment

Hospitals in Louisiana billed an average of $246,830 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.8 times the average total payment of $42,499. That payment is 23% below the U.S. average of $55,508.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $42,499Billed $246,830

About 17¢ was paid for every $1 hospitals in Louisiana billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Louisiana:

Louisiana hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

Every Louisiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Ochsner Foundation HospitalNew Orleans 26 $306,907 $59,588 $45,825
Our Lady of Lourdes Regional Medical Center, INCLafayette 18 $175,717 $34,134 $32,684
Lafayette General Medical CenterLafayette 14 $207,988 $36,428 $30,732
Lake Charles Memorial HospitalLake Charles 14 $205,370 $37,881 $36,284
Our Lady of the Lake Regional Medical CenterBaton Rouge 13 $167,450 $45,250 $35,891
Tulane Medical CenterNew Orleans 13 $376,917 $41,282 $37,707
CHRISTUS Schumpert Health SystemShreveport 12 $328,981 $38,155 $29,937
Willis Knighton Medical CenterShreveport 12 $179,933 $33,174 $31,539
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Lowest and highest payments in Louisiana

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Ochsner Foundation HospitalNew Orleans, LA$59,588
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA$45,250
Tulane Medical CenterNew Orleans, LA$41,282
CHRISTUS Schumpert Health SystemShreveport, LA$38,155
Lake Charles Memorial HospitalLake Charles, LA$37,881

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Louisiana?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 8 hospitals in Louisiana was billed at $246,830 on average, while the average total payment was $42,499, of which Medicare paid $36,168. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Louisiana, average charges were 5.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.